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童年逆境与成年期应对压力时的日常抑制和回避之间的关联:神经生物学敏感性能否解释这种关系?

Associations between childhood adversity and daily suppression and avoidance in response to stress in adulthood: can neurobiological sensitivity help explain this relationship?

作者信息

Hagan Melissa J, Bush Nicole, Mendes Wendy Berry, Arenander Justine, Epel Elissa, Puterman Eli

机构信息

a Department of Psychology , San Francisco State University , San Francisco , CA , USA.

b Department of Psychiatry , University of California , San Francisco , CA , USA.

出版信息

Anxiety Stress Coping. 2017 Mar;30(2):163-175. doi: 10.1080/10615806.2016.1259473. Epub 2016 Nov 19.

Abstract

BACKGROUND AND OBJECTIVES

Although it has been postulated that psychological responses to stress in adulthood are grounded in childhood experiences in the family environment, evidence has been inconsistent. This study tested whether two putative measures of neurobiological sensitivity (vagal flexibility and attentional capacity) moderated the relation between women's reported exposure to a risky childhood environment and current engagement in suppressive or avoidant coping in response to daily stress.

DESIGN AND METHODS

Adult women (N = 158) recruited for a study of stress, coping, and aging reported on early adversity (EA) in their childhood family environment and completed a week-long daily diary in which they described their most stressful event of the day and indicated the degree to which they used suppression or avoidance in response to that event. In addition, women completed a visual tracking task during which heart rate variability and attentional capacity were assessed.

RESULTS

Multilevel mixed modeling analyses revealed that greater EA predicted greater suppression and avoidance only among women with higher attentional capacity. Similarly, greater EA predicted greater use of suppression, but only among women with greater vagal flexibility.

CONCLUSION

Childhood adversity may predispose individuals with high neurobiological sensitivity to a lifetime of maladaptive coping.

摘要

背景与目的

尽管有人推测成年期对应激的心理反应源于童年时期家庭环境中的经历,但证据并不一致。本研究检验了两种假定的神经生物学敏感性指标(迷走神经灵活性和注意力容量)是否调节了女性报告的童年风险环境暴露与当前应对日常压力时采用抑制或回避应对方式之间的关系。

设计与方法

招募了158名成年女性参与一项关于压力、应对和衰老的研究,她们报告了童年家庭环境中的早期逆境(EA),并完成了为期一周的日常日记,记录她们当天最具压力的事件,并表明针对该事件采用抑制或回避方式的程度。此外,女性完成了一项视觉追踪任务,在此过程中评估心率变异性和注意力容量。

结果

多层次混合模型分析显示,只有在注意力容量较高的女性中,更高的EA才预示着更多的抑制和回避。同样,只有在迷走神经灵活性较高的女性中,更高的EA才预示着更多地使用抑制。

结论

童年逆境可能使具有高神经生物学敏感性的个体易出现一生的适应不良应对方式。

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